| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,141 |
1,025 |
$783K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,154 |
1,079 |
$203K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,360 |
2,761 |
$113K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
156 |
138 |
$61K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
878 |
832 |
$54K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,914 |
1,645 |
$47K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,368 |
1,087 |
$43K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
379 |
324 |
$30K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
253 |
231 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,220 |
1,191 |
$8K |
| E0570 |
Nebulizer, with compressor |
456 |
450 |
$5K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
14 |
14 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
61 |
59 |
$3K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
16 |
12 |
$2K |
| K0001 |
Standard wheelchair |
189 |
178 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
139 |
132 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
29 |
28 |
$1K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
13 |
12 |
$849.81 |
| A7035 |
Headgear used with positive airway pressure device |
175 |
162 |
$678.27 |
| A7037 |
Tubing used with positive airway pressure device |
92 |
89 |
$380.73 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
287 |
274 |
$272.61 |